Individual
VIDA A DOMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 HAIL RIDGE DR, REYNOLDSBURG, OH 43068-6050
(614) 522-1521
Mailing address
1209 HILL RD N # 231, PICKERINGTON, OH 43147-8888
(614) 522-1521
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
002528631
IL
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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